Endoscopic Treatment of Portal Hypertensive Biliopathy: Intervene with Caution!

Abstract

Portal hypertensive biliopathy (PHB) is defined as biliary abnormalities associated with portal hypertension, particularly caused by extra hepatic portal venous obstruction. Clinical spectrum ranges from no symptoms to biliary obstruction and life threatening cholangitis. PHB is an unusual cause of hemobilia. We present three cases of PHB presented to us with varied clinical features and managed with endoscopic interventions. Here, we highlight the outcome of endotherapy in patients of PHB. We also review the literature regarding the pathogenesis, clinical features and management of PHB.